Individual provider Active NPI

Montana Swanson, DPT

  • Physical Therapist
  • Brunswick, GA
National Provider Identifier
1861277154
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP044288T Issued in GA
Practice address
1106 Fountain Park Cir
Brunswick, GA 31520-4806
Phone
(912) 262-2151
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12025 SC
Physical Therapist 225100000X CP041068T VA
Physical Therapist 225100000X CP044288T GA Primary

Addresses

Primary practice location

1106 Fountain Park Cir
Brunswick, GA 31520-4806

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

32 Windward Dr Ste 110
Fishersville, VA 22939-2174
Phone (540) 949-5383

Other practice location 2

2230 Ashley Crossing Dr
Charleston, SC 29414-5700
Phone (843) 766-5228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250424000031 VA Practitioner - Physical Therapist in Private Practice 3274059100 Reassigns benefits to 1 organization
I20250529000850 GA Practitioner - Physical Therapist in Private Practice 3274059100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Carolina School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

1106 Fountain Park Cir
Brunswick, GA 31520-4806
Phone (912) 262-2151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP044288TGAMDPhysical Therapist
12025SCMDPhysical Therapist
CP041068TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 12, 2025 Accepting new patients
Barren Ridge Physical Therapy Limited Partnership Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Barren Ridge Physical Therapy Limited Partnership CurrentSince Feb 17, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Independent Physical Therapy, LLC CurrentSince May 12, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1106 Fountain Park Cir
Brunswick, GA 31520
Phone (912) 262-2151

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

32 Windward Dr
Ste 110
Fishersville, VA 22939
Phone (540) 949-5383

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1861277154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 FOUNTAIN PARK CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204806",
            "telephone_number": "912-262-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Windward Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392174",
            "country_code": "US",
            "telephone_number": "540-949-5383",
            "fax_number": "540-949-5493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2230 Ashley Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145700",
            "country_code": "US",
            "telephone_number": "843-766-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MONTANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12025",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP041068T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP044288T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.